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Georgia rates for HCPCS 57155

Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,818.38 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $575.44 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $776.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,290.87 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $794.33